Provider Demographics
NPI:1760822241
Name:POHJA, ERVIN (PA)
Entity Type:Individual
Prefix:
First Name:ERVIN
Middle Name:
Last Name:POHJA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100905
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-0905
Mailing Address - Country:US
Mailing Address - Phone:786-596-8020
Mailing Address - Fax:786-533-9358
Practice Address - Street 1:8940 N KENDALL DR STE 601E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2150
Practice Address - Country:US
Practice Address - Phone:786-596-8020
Practice Address - Fax:786-533-9358
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108839363AS0400X
NY009772363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical